The URL can be used to link to this page

Home My WebLink About24845-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26055 Date: 10/22/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 4000 MAIN RD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 125 Block 3 Lot 11 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 9, 1998 pursuant to which Building Permit No. 24845-Z dated APRIL 24, 1998 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY STORAGE BUILDING IN REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to JEANETTE C HOMMEL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 24845 Z Date APRIL 24, 1998 Permission is for : hereby granted to: JEANETTE C HOMMEL MAIN RD LAUREL~NY 11948 CONSTRUCT AN ACCESSORY STORAGE BUILDING IN THE REQUIRED REAR YARD OF A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 4000 County Tax Map No. 473889 Section 125 pursuant to application dated APRIL Building Inspector. MAIN RD LAUREL Block 9 1998 0003 Lot No. 011 and approved by the Fee $ 35.00 ilding ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of.property with accurate location of ali buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept, of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '!pre-existing" land uses: 1~ Accurate survey~of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. tf a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25,00, Additions 'to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy 9f Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ~. 1.~. I.~ .~ .... .... . Location of Propergy w~ - ' ..... House No. Street I Hamlet Onwer or Owners of Froper~y ...... · .................................... County Tax Map No i000, Section ......... Block ........... Lot ................... Subdivision ................................. Permit No. A..~.~. ?)..~....~ate Of Permit....~..]..~..1 .~.mpplicant...~ ..~.-~. · -Y~-~' '~'~' 'f~' '~'~' I Health Dept. Approval .......................... Underwriters Approvai ......................... Planning Board Approval ......... ReqUest for: Temporary Certificate ........... Final Certicate.../.. ...... Fee Submitted :~/$ ............................. ~ .~ ..... C0 t 053 ......... , "' 76~-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ~ION [ ] FRAMING [,~] FINAL [ ] FIREPLACE & CHIMNEY DATE /r~)/~ ?/~ ~ ,NSPECTOR~//~~ ~~ 765-1802 BUILDING DEPT. INSPECTION [ ] ROUGH PLBG. [ ] INSULATION [ ~FINAL ~/~~ FIREPLACE & CHIMNEY ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING DATE //O/~//~ ~ INSPECTOR FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .?LUMBING' INSULATION FERN. Y. STATE ENERGY CODE COMM£NT2 FINAL ADDITIONAL COMMENTS: ~J. I~Rm'e o£ ~rk (d~eck ~41icJl applicable); ~ ~fllding ........... I~l~ir ............ ~al ............. l~ltti~ ,. ........... OCher ~ .................................. 6, Est it,~l ~st ~' ~ripti~) (to ~ ~id ~xl ~iling this fll~licati~) It garage) IXJ~F O~ care ...................................... 6. lg I~ai,maa, ~rcial or mJ~l'~mqm~, a~el~ ~l.ur~_ at~ extent o~ eadJ ~y[m o~ u~ ........... ........... I~i~lt ......................... ~admr o~ Stories ...J .................. I)i,~naim)a et ~m et~ra ~lth alteratJ(me or m~i~lona: Front ............... ~ar ............... I~l)th .................... I~J~,~ .................... ~Jitmr o~ Stories ....~ .......... I~i~ ......................... ~t~imr og 8toriea.. 9. 8i~ of lot: l~t .................... ~ar .................... ~pth .................... lO. I~fl'e of ~rdm~ ..................... ~ of For~r ~mr ........................................ II. ~ or u~ district In M~idt pr~l~s a~ a~t~ .............................................................. 12. ~ prolm~l ~mt~ti~ violate a~y ~lng I~. ordi~e or regularly: ........................ 13. Will lot Im regr~ ..... . .............. Will ~aa ~ ............................. ~lreaa .............................. ~m ~ ............... C~t r~or ~ ............................ ~reaa .............. . ................ H~ ~ ............... PI.eT DIAGRAH * .~ I~cate clearly and dletlnctly all bul~ldinge, ~hether exls£ing or pro~, m~ i~licate alt ~t-~ di~aai~a frm~ prol~rty ll~s. gt~ sr~r ami Ifl~ m~;f~r or {~scripti~ according ro t~, a~ ~ street ~ma a~l l~licate~ td~tl~r~iaterlor or co~r lot. I~ ~ ~ ...... ~ .......................................... Iml~ duly ~rn, deln~a m~l ~ay~ tho~ he ia the appl. J~nL (~ of i,xlivi&~l. ~igni,~g c~mtract) I~ i~ the ......... (C~tractor, agent,-cor~rate o[~tcer, etc.) of said (~mr or ~rs, rani ifl/(~dy ~tl~ri~ to imrfona or Il;me l~rfor.~l the ~id ~rk m~l to fl~ke m~l file I.his applicaLion; time ail statometa ctmtai.~ in thio al~l. icaEi~m are trim to the ImaE of his kl~l~e md Imlief~ a~l that the ~rk uill I~ ~rfon~l h, tim .~m~mr ~t forth in the appllca~ion fil~ FORH NO. I TOWN OF SOUTIIOLD BUILDING DE PAR'I}iENT TOWN IIALI. ~OUTIIOI.D~ N.~. 11971 TEl.: 76~- 1802 BOARD OF [IEALTI! ............... ~8_~ OF PLANS ............... ~C' FORN .................. - // · CATION FOR IIU,ILI)II~I~ PERttlT INSTRUCTIONS NOTIFY: CALL ............. HAil TO: ....... a. 'lhts application ntmt be completely filled in by t~jpcn~riter or in ink ami md~n[tted to tbs 3 ~cs o~ pl~, at.rate plot planlto ~ale. b. Plot plan ~t~ I~tt~{of lot ~ of ~tldh~s ~ ~[~s, ~iatt~dp to ~joint~ pr~l~s or ~blic str~ts or areas, o~ Bivt~ a ~tn~i~ ~.riptl~ of layont of pro~rty ~tst I~ dr~ m giro disown ~dch {s lmrt of this appl xcati~. (~llhg ~res~ of a~ltcant) State drafter applicant is o~n~er, leases, agent, arcldtect, engil~er,'geoersl c~tractor, electrician, ph~r or Indld~ ~. ~ ~_ . ~U . .. ~ off ~r of pr~l~s ...~..].A ................................................... ~ (as m tim tax mil or latest d~) . If applicant is a co.ratio, nt~re of duly m~tl~*ri*~l officer. (~ a,d title of co.rate officer) ~xil~rs I,tce~' ~' ...... .. +' ................. m~ ...... ~ .... I~ ~r 8trot [~eg ~,~,~,. ~ ~.~on .... 1.~.~ .... ~i~t .... ~. ....... ~ ...t.~ ........... (N~) 2. State existing use and occ'u a: F~cistlng tm~ and occupan b. Intended us~ and occupancy mncy Of i~emises a~d interxled use mxl occtq~-y of proposed constructlont